Shaping ability of ProFile.04 Taper Series 29 rotary nickel-titanium instruments in simulated root canals. Part 2.
The aim of this study was to determine the shaping ability of ProFile.04 Taper Series 29 rotary nickel-titanium instruments in simulated canals. A total of 40 simulated root canals made up of four different shapes in terms of angle and position of curvature were prepared by ProFile instruments using a step-down approach. Part 2 of this two-part report describes the efficacy of the instruments in terms of prevalence of canal aberrations, the amount and direction of canal transportation and the overall postoperative shape. No zips, perforations or danger zones were created although 24 specimens (60%) had ledges on the outer wall of the canal. The incidence of ledges differed significantly (P < 0.001) between the canal shapes. At specific points along the canal length there were highly significant differences (P < 0.001) in total canal width and in the amount of material removed from the inner and outer aspects of the curve between the various canal shapes. Overall, 40 degrees canals were wider than 20 degrees canals and canals with curves which began 8 mm from the orifice were wider than 12 mm canals. The direction of canal transportation at the end-point of preparation was balanced between inner and outer in the 8 mm canals, but more often towards the outer in the 12 mm canals. At the apex of the curve, transportation was invariably towards the outer aspect of the curvature. At the beginning of the curve, transportation was more balanced between inner and outer. Mean absolute transportation, ignoring direction, was generally greater in 40 degrees canals and in those with the curve beginning 8 mm from the orifice. Of particular importance was the finding that excessive resin was removed from the outer aspect of the canal at the apex of the curve which was often associated with irregular widened areas or ledges. This is in contrast to the pattern of tissue removal found with stainless steel hand instruments where more resin is removed from the inner aspect of the canal at the apex, to create a danger zone.
Thompson
S A
SA
Department of Restorative Dentistry, University of Wales College of Medicine, Cardiff, UK.
Dummer
P M
PM
D003722:Dental Alloys; D003786:Dental Pulp Cavity; D004853:Epoxy Resins; D004867:Equipment Design; D005069:Evaluation Studies as Topic; D006801:Humans; D007091:Image Processing, Computer-Assisted; D066298:In Vitro Techniques; D008961:Models, Structural; D009532:Nickel; D018915:Root Canal Preparation / Q000295:instrumentation* / Q000706:statistics & numerical data; D014025:Titanium
D003722:Dental Alloys; D004853:Epoxy Resins; C040654:titanium nickelide; D009532:Nickel; D014025:Titanium